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To assess the tonsils, a patient opens their mouth and a tongue blade is used to depress the tongue. A penlight is used to inspect the back of the patient's throat, looking for pink, symmetrical and normal-size tonsils. Tonsil size is graded as follows: 1+ Visible; 2+ Halfway between the tonsillar pillars and the uvula; 3+ Touching the uvula
The width of the attached gum on the facial aspect differs in different areas of the mouth. It is generally greatest in the incisor region (3.5 to 4.5 mm in the maxilla and 3.3 to 3.9 mm in the mandible) and less in the posterior segments, with the least width in the first premolar area (1.9 mm in the maxilla and 1.8 mm in the mandible).
In human anatomy, the mouth is the first portion of the alimentary canal that receives food and produces saliva. [2] The oral mucosa is the mucous membrane epithelium lining the inside of the mouth. In addition to its primary role as the beginning of the digestive system, the mouth also plays a significant role in communication.
This early sign of disease in the mouth is completely reversible when the etiology of the edematous reaction is eliminated and frequently occurs without dental surgical therapy. However, in certain situations, a gingivectomy is necessary to reduce the gingival pocket depths to a healthy 1–3 mm.
The gingiva ("gums") is the mucosal tissue that overlays the jaws. There are three different types of epithelium associated with the gingiva: gingival, junctional, and sulcular epithelium. These three types form from a mass of epithelial cells known as the epithelial cuff between the tooth and the mouth. [38]
Gingival retraction or gingival recession is when there is lateral movement of the gingival margin away from the tooth surface. [1] [2] It is usually termed gingival retraction as an intentional procedure, and in such cases it is performed by mechanical, chemical, or electrical means in order to perform certain dental surgery procedures.
Using the periodontal six/four point chart, if more than 30% of sites are involved then a diagnosis of generalised disease is given. If less than 30% of sites are involved, then the type of periodontitis is localized. To complete the diagnosis, the extent of the disease must be assessed.
Gingival enlargement is an increase in the size of the gingiva (gums). It is a common feature of gingival disease. [1] Gingival enlargement can be caused by a number of factors, including inflammatory conditions and the side effects of certain medications. The treatment is based on the cause. [1]